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� CITY OF EVERETT '; � DATE ,�-� 7-yI <br /> ELECTRICAL WIRING PERMIT APPLICATION �' <br /> , • FEE� <br /> . " aoe anr�ess . ��9�G� /J�!/=➢�»i�n� �l/F <br /> .� 1'ENANT C���R/� G� � �r/n//J/ �T�I?/�/Ainiin� <br /> ';a <br /> • rsoeEaTx owtasa <r��1s� �t�. 5�7��RK1=�.��z�� n.�� <br /> ELECTRICAL C�ONTRACTOR j�/i��lNl2)/-"�T Gii7i- � ��/_��://;�/TV ���rr-„� / <br /> , <br /> CONTRACTOR'S ADDRESS �ln�i'/7 7/J� P� ,�'CcJ, ��'iY•t/Li:OnD, i�»� ��S'o�7 <br /> CITY ZIP <br /> LICEN�E N0. �47�C'�,.��c�,�� � � . � <br /> , , � EXPTRATION DATE ���-,�,�- 9 ? <br /> ADMINISTRATOR. jJ,�/„[M/5'o'I�,�c/R/1� PHONE N0. ��/j - 7�/ _ �f�� n <br /> � VALUE OF WORK �/� y� � (do �ot include taxes) <br /> (for coamierical work) <br /> F'� <br /> USE OF BUILDING �r�/Dl�'l- ( ��„��' �dN�r��,_ .�CN � <br /> �;: NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> -• institutional or health care facilities be approved by the State of Washinqton. <br /> Applicants With such jobs must show the State approved plane before a City <br /> of Everett permit will be issued, <br /> NOTE: Wiring in non dwellinqs is required to be ia conduit. <br /> �7 WOR!! TO BE DONE: <br /> • ��/�/-?M' � I y'�' 77 n r <br /> , <br /> , SIGNED: ��n����� � ^.��,. <br /> � DATE: �-'� 7' `�� <br /> �l1,�i c L•' �>i�G./_'��� <br /> 3/27/90 <br />